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一个大型雇主实施现实世界的数字化糖尿病管理计划
Jean M Abraham1, Teresa Ambroz, Megan Chacon
1University of Minnesota, 420 Delaware St SE, MMC 729, Minneapolis, MN 55455.
The American journal of managed care
|March 7, 2025
概括
一个数字糖尿病管理计划的入学率很低,尽管有沟通努力. 虽然糖尿病自我管理教育和支持使用略有增加,但没有减少地理差异.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 糖尿病管理 糖尿病管理
- 医疗服务研究 医疗服务研究
背景情况:
- 大型雇主越来越多地采用数字健康解决方案来治疗慢性疾病.
- 评估这些计划的实施和有效性对于优化健康结果和资源配置至关重要.
研究的目的:
- 评估数字化糖尿病管理计划的实施和初始有效性.
- 分析影响注册和使用糖尿病自我管理教育和支持 (DSMES) 的因素.
- 确定扩展访问模式是否减少了DSMES使用的地理差异.
主要方法:
- 描述性分析2021年5月至2022年4月期间的方案实施情况.
- 分析行政索赔数据以确定入学预测因素 (人口统计学,临床属性).
- 评估DSMES利用变化和计划启动后的地理访问.
主要成果:
- 与符合条件的人口相比,该计划的入学率较低,尽管有响应性的沟通活动.
- 女性员工和订阅者更有可能参加数字糖尿病计划.
- DSMES的使用量略有增加,但农村和城市差异没有显著减少.
结论:
- 基于数字的疾病管理计划需要战略规划才能成功实施和参与.
- 雇主和健康计划可以从优化数字健康计划设计和宣传的洞察中受益.
- 需要进一步的研究来解决招生障碍,并确保平等地获得数字健康解决方案.
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